DR. Michael Jay Gordon SR., DDS
NPI #1114072345 in Fayetteville, North Carolina
Provider Information
- NPI Number
- 1114072345
- Entity Type
- Individual
- Name
- DR. Michael Jay Gordon SR., DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jan 25, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4155 FERNCREEK DR
- Address 2
- SUITE 101
- City
- Fayetteville
- State
- North Carolina
- ZIP Code
- 28314-2581
- Phone
- (910) 323-8899
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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